| Aim:To compare the outcome of laparoscopic versus open appendectomy.Methods:Prospectively collected data from 75 consecutive patients with acute appendicitis were studied.These comprised of 45 patients who underwent conventional appendectomy and 30 patients treated laparoscopically.The two groups were compared with respect to operative time,length of hospital stay,postoperative pain,complication rate and cost.Results:All of the operations were successfully performed.There were no severe peri- or postoperative complications that could be related to the operations.In no instance did the laparoscopic procedure need to be converted to open surgery.In the LA group,blood loss,,postoprative intestinal function recovery time,postoperative ambulation time,postoperative hospital stay,total cost of hospitalization and use of antalgesic were(47±19.7)min,(20.8±9.1)ml,(28.1±10.3)hours,(30.4±13.1 )hours,(4.4±1.3)days,(8200.0±1346.4.4) RMB and 2 cases respectively.And the datas in the open group were(44.3±24)min,(50.8±40.7)ml,(40.3±14.6)hours,(40.5±19.7)hours,(7.9±2.5)days,(5320.3±871.1) RMB and 4 cases respectively.The intraoperative estimated blood loss,postoperative drainage volume,postoperative intestinal function recovery time,postoperative ambulation time,postoperative hospital stay and use of antalgesic in the LA group were significantly less than them in the open group(P＜0.05),while the total cost of hospitalization were more than them in the open group(P＜0.05).The operation time and analgesia requirements were similar in the two groups.Conclusion:Laparoscopic appendectomy is as safe and efficient as open appendectomy,provided surgical experience and equipment are available... |
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